中国老年乳腺癌治疗专家共识(2018)
Consensus on the Treatment of Breast Carcinoma in Elderly Chinese Patients
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摘要: 老年(≥ 70岁)乳腺癌很少被临床研究所覆盖, 同时老年人伴发的疾病往往复杂, 故临床实践中对于老年乳腺癌的治疗存在较多争议和不确定性。中国老年肿瘤学会乳腺分委会的治疗共识专家组就老年乳腺癌的治疗问题经过充分讨论后, 本着"关键问题上达成共识, 争议问题上求同存异"的原则, 在老年乳腺癌局部治疗、辅助全身治疗、解救治疗以及新辅助治疗等问题上形成此专家共识, 以供临床医师参考。Abstract: Elderly(aged ≥ 70 years) patients with breast carcinoma are seldom included in clinical trials. On the other hand, elderly patients are often involved in complicated comorbidities. That gave rise to great controversies over the management of elderly cases with breast carcinoma. Specialists of the breast carcinoma committee of Chinese Geriatric Oncology Society (CGOS) created the principles of reaching consensus on key issues and reserving differences in controversial issues so as to provide evidence-based recommendations for the treatment of breast carcinoma in elderly individuals. The recommendations include local and adjuvant systematic treatments for primary breast carcinoma in elder individuals, neoadjuvant therapy, and treatment approaches for recurrent elderly patients.